Evidence map›Paper›PMID 32988365›Full record

ArticleBMC pediatrics2020

Accelerated skeletal maturation is associated with overweight and obesity as early as preschool age: a cross-sectional study.

Dandan Ke, Dajiang Lu, Guang Cai, Jing Zhang, Xiaofei Wang, Koya Suzuki

Abstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  4. Updating radiographic parameters for the healthy growing hip: are current parameters still valid?Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
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  20. Bone age in prepubertal children with nonfamilial or familial idiopathic short stature and prepubertal short-stature children born small for gestational age: a longitudinal data analysis.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dandan KeGraduate School of Health and Sports Science, Juntendo University, 1- 1 Hiraka-gakuendai, Inzai-city, Chiba, 270-1695, Japan.
Dajiang LuSchool of Kinesiology, Shanghai University of Sport, No. 650 Qingyuan Ring Road, Yangpu District, Shanghai, 200438, People's Republic of China.
Guang CaiShanghai Research Institute of Sports Science, No.87 Wuxing Road, Xuhui District, Shanghai, 200030, People's Republic of China.
Jing ZhangShanghai Center for Women and Children's Health, No.339 Luding Road, Putuo District, Shanghai, 200062, People's Republic of China.
Xiaofei WangSchool of Kinesiology, Shanghai University of Sport, No. 650 Qingyuan Ring Road, Yangpu District, Shanghai, 200438, People's Republic of China.
Koya SuzukiGraduate School of Health and Sports Science, Juntendo University, 1- 1 Hiraka-gakuendai, Inzai-city, Chiba, 270-1695, Japan. ko-suzuki@juntendo.ac.jp.ORCID 0000-0002-2089-0886

Funding

Science and Technology Commission of Shanghai Municipality 16080503100Science and Technology Commission of Shanghai Municipality 18DZ1200600
6 · The paper itself

Abstract

backgroundBody mass index (BMI) and skeletal age (SA) are important indicators of individual growth and maturation. Although the results have not been unified, most studies indicated that accelerated skeletal maturation is associated with overweight/obesity. However, there have so far been insufficient studies about the association between accelerated skeletal maturation and overweight/obesity in preschoolers, particularly Asian children. A cross-sectional study was conducted on Chinese children to verify the association between accelerated skeletal maturation and overweight/obesity at preschool age.

methodsThe study involved 1330 participants aged 3.1-6.6 years old (730 males and 600 females) in Shanghai, China. The skeletal age was determined according to the method of TW3-C RUS. Accelerated skeletal maturation was defined as relative SA (SA minus chronological age [CA]) ≥1.0 years. BMI was classified as thinness, normal weight, overweight, and obesity according to the International Obesity Task Force (IOTF) BMI cut-offs. The Chi-square was performed to determine the statistically significant difference in the frequency of accelerated skeletal maturation in BMI and age categories. The logistic regression model analyzed the association between accelerated skeletal maturation and overweight/obesity.

resultsThe percentage of accelerated skeletal maturation increased with BMI (7.8% of children in thinness group had accelerated skeletal maturation; the percentage increased to 30.8% in obese group. x

conclusionsThere is an association between accelerated skeletal maturation and overweight/obesity among preschool children. This study suggests that accelerated skeletal maturation might coexist with overweight/obesity in preschool children, and interventions, such as dietary modifications and increasing levels of physical activity, should be employed to prevent both accelerated skeletal maturation and overweight/obesity as early as preschool age.

Indexed as

ObesityOverweightBody Mass IndexChildChild, PreschoolChinaCross-Sectional StudiesFemaleHumansInfantMalePrevalenceThinnessAdvanced bone ageBody mass indexGrowth and maturationPediatric obesityRelative skeletal age

Identifiers

PMID32988365
PMCPMC7520956

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.